Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

ASCENSION PROVIDENCE HOSPITAL

NPI: 1871554626 · SOUTHFIELD, MI 48075 · Cardiovascular Disease Physician · NPI assigned 03/31/2006

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official STARKEL, SARAH controls 20+ related entities in our dataset. Read more

$2.51M
Total Medicaid Paid
97,031
Total Claims
90,557
Beneficiaries
51
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialSTARKEL, SARAH (CREDENTIALING COORDINATOR)
NPI Enumeration Date03/31/2006

Related Entities

Other providers sharing the same authorized official: STARKEL, SARAH

ProviderCityStateTotal Paid
ASCENSION ST JOHN HOSPITAL DETROIT MI $41.79M
ASCENSION PROVIDENCE HOSPTIAL SOUTHFIELD MI $8.97M
ASCENSION PROVIDENCE HOSPITAL SOUTHFIELD MI $4.97M
ASCENSION PROVIDENCE HOSPITAL SOUTHFIELD MI $3.45M
ASCENSION ST JOHN HOSPITAL SOUTHFIELD MI $3.01M
ASCENSION PROVIDENCE HOSPITAL SOUTHFIELD MI $2.88M
ASCENSION ST JOHN HOSPITAL CHICAGO IL $2.29M
ASCENSION ST JOHN HOSPITAL DETROIT MI $981K
ASCENSION PROVIDENCE HOSPITAL SOUTHFIELD MI $879K
ASCENSION PROVIDENCE HOSPITAL SOUTHFIELD MI $475K
ASCENSION PROVIDENCE HOSPITAL SOUTHFIELD MI $225K
SETON HEALTH CORPORATION OF SOUTHEASTERN MICHIGAN SAINT CLAIR SHORES MI $70K
SETON HEALTH CORPORATION OF SOUTHEASTERN MICHIGAN MADISON HEIGHTS MI $67K
ASCENSION PROVIDENCE ROCHESTER HOSPITAL ROCHESTER MI $53K
ASCENSION EASTWOOD BEHAVIORAL HEALTH NOVI MI $47K
ASCENSION EASTWOOD BEHAVIORAL HEALTH SAINT CLAIR SHORES MI $45K
ASCENSION PROVIDENCE HOSPITAL SOUTHFIELD MI $15K
SETON HEALTH CORPORATION OF SOUTHEASTERN MICHIGAN HOWELL MI $12K
SETON HEALTH CORPORATION OF SOUTHEASTERN MICHIGAN MACOMB MI $9K
ASCENSION PROVIDENCE ROCHESTER HOSPITAL ROCHESTER MI $761.29

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 11,378 $327K
2019 11,447 $298K
2020 10,541 $273K
2021 14,232 $391K
2022 15,409 $408K
2023 20,020 $456K
2024 14,004 $356K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 11,266 10,898 $513K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 12,152 12,069 $481K
99232 Subsequent hospital care, per day, moderate complexity 7,361 3,085 $284K
99223 Prolong inpt eval add15 m 2,360 2,297 $236K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 3,299 3,288 $233K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 5,941 5,790 $182K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 2,375 2,357 $107K
99222 Initial hospital care, per day, moderate complexity 1,256 1,235 $89K
93350 1,610 1,599 $62K
99233 Prolong inpt eval add15 m 924 540 $56K
93016 4,181 4,149 $48K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 10,300 10,166 $41K
93018 4,500 4,463 $34K
93308 1,881 1,734 $26K
99215 Prolong outpt/office vis 327 317 $23K
93320 1,983 1,963 $20K
93458 134 132 $20K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 397 394 $17K
93325 3,193 3,114 $6K
99205 Prolong outpt/office vis 53 53 $5K
93321 1,103 1,048 $4K
93272 233 232 $3K
99221 57 57 $3K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 88 87 $3K
99231 Subsequent hospital care, per day, straightforward or low complexity 108 72 $2K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 126 116 $2K
93298 119 118 $2K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 38 34 $2K
99152 196 190 $1K
99441 36 36 $1K
93000 106 103 $819.69
99442 15 14 $619.81
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 296 292 $594.41
93227 24 24 $291.36
G8420 Bmi is documented within normal parameters and no follow-up plan is required 968 944 $0.00
1126F 1,326 1,305 $0.00
3079F 463 462 $0.00
1036F 1,498 1,459 $0.00
3075F 70 70 $0.00
3008F 1,671 1,634 $0.00
3074F 1,215 1,191 $0.00
1034F 190 185 $0.00
99406 137 119 $0.00
3080F 33 32 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 7,803 7,534 $0.00
3078F 1,047 1,028 $0.00
1160F 1,106 1,086 $0.00
1159F 1,106 1,086 $0.00
3725F 231 228 $0.00
3077F 117 116 $0.00
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 12 12 $0.00